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NPI Code Detail

MEDICARE: DR. STEVEN KNEZEVICH M.D.

MEDICARE:  DR. STEVEN  KNEZEVICH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician593072246FL
2207X00000XOrthopaedic Surgery Physician593072246FL
3207XS0114XAdult Reconstructive Orthopaedic Surgery Physician593072246FL
4207XX0004XOrthopaedic Foot and Ankle Surgery Physician593072246FL
5207XX0005XSports Medicine (Orthopaedic Surgery) Physician593072246FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1593072246OTHERFLCOMMERCIAL CARRIERS
212696OTHERFLBLUE CROSS BLUE SHIELD
3ME0060554OTHERFLWORKERS COMPENSATION
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457356701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN KNEZEVICH M.D.
Provider Business Mailing Address
First Line : 3820 NORTHDALE BLVD
Second Line : STE 105A
City : TAMPA
State : FL
Zip : 33624-1834
Country : US
Telephone Number : 813-960-1655
Fax Number : 813-960-3681
Provider Business Practice Location Address
First Line : 3820 NORTHDALE BLVD
Second Line : STE 105A
City : TAMPA
State : FL
Zip : 33624-1834
Country : US
Telephone Number : 813-960-1655
Fax Number : 813-960-3681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 01/12/2012

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